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15 Cards in this Set
- Front
- Back
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Two types of code description
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stand alone
and indented |
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Semicolon
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The description preceding the semicolon is the common part of the description and applies to any indented codes under it.
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type of service
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consulation office services hospital
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Place of service
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Office Emergency department Nursing Home
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Type of service
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Consultations Admissions Office visits
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Patient Status
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New pt Established Pt Outpt Inpatient
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E/M Services are based on what
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Time spent Level of knowledge necessary to treat the patient Effort required, Responsibility required
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Em Levels divided based on
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Key components, Contributing factors every encounter contains varying amont ofKC and CF
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Key components
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History,Physical examination, Medical decision making
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Contributing Factors
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Counseling Coordination of car Nature of presenting problem time
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Ever Encounter Contains Varying Amont of KC CF
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High level
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Key Componnts Four Elements of history
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Chief complaint history of present illness Review fo systems past famil of social history
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Four history Levels
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problem focused Expanded problem Focused Detailed Comprehensive
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Four examination Levels Objective
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PFE EPDW DE CE
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Problem Focused
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CC Brief Hpi
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